Abstract
We investigated the role of the KIR loci and their HLA class I ligands in a large cohort of African American multiple sclerosis (MS) patients (N=907) and controls (N=1456). No significant differences in carrier frequencies for any KIR locus or haplotype were observed between cases and controls. However, examination of KIR in the context of their cognate HLA ligands revealed a strong protective effect for KIR3DL1 in combination with HLA-A and -B alleles bearing the Bw4 motif (P=10−8; odds ratio (OR)=0.60, confidence interval (CI)=0.50–0.71) and the Bw4 ligand alone (P<10−6; OR=0.63, CI=0.53–0.75). The observed effect cannot be explained by either a specific HLA-B allele or by linkage disequilibrium with HLA-DRB1 or HLA-A. The protective effect was observed only in individuals who were not positive for the MS risk allele HLA-DRB1*15:01 (P<10−6; OR=0.61, CI=0.51–0.74). Our study, the first investigation of KIR and MS in African Americans, confirms and refines previous findings in a European cohort.
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References
Venstrom JM, Pittari G, Gooley TA, Chewning JH, Spellman S, Haagenson M et al. HLA-C–dependent prevention of leukemia relapse by donor activating KIR2DS1. N Engl J Med 2012; 367: 805–816.
Parham P, Moffett A . Variable NK cell receptors and their MHC class I ligands in immunity, reproduction and human evolution. Nat Rev Immunol 2013; 13: 133–144.
Bashirova AA, Thomas R, Carrington M . HLA/KIR restraint of HIV: surviving the fittest. Annu Rev Immunol 2011; 29: 295–317.
Altfeld M, Fadda L, Frleta D, Bhardwaj N . DCs and NK cells: critical effectors in the immune response to HIV-1. Nat Rev Immunol 2011; 11: 176–186.
Biron CA . Activation and function of natural killer cell responses during viral infections. Curr Opin Immunol 1997; 9: 24–34.
Parham P . Influence of KIR diversity on human immunity. Adv Exp Med Biol 2005; 560: 47–50.
Colonna M, Moretta A, Vely F, Vivier E . A high-resolution view of NK-cell receptors: structure and function. Immunol Today 2000; 21: 428–431.
Moretta L, Bottino C, Pende D, Castriconi R, Mingari MC, Moretta A . Surface NK receptors and their ligands on tumor cells. Semin Immunol 2006; 18: 151–158.
Kaur G, Trowsdale J, Fugger L . Natural killer cells and their receptors in multiple sclerosis. Brain 2013; 136 (Pt 9): 2657–2676.
Jelcic I, Hsu KC, Kakalacheva K, Breiden P, Dupont B, Uhrberg M et al. Killer immunoglobulin-like receptor locus polymorphisms in multiple sclerosis. Mult Scler 2012; 18: 951–958.
Bettencourt A, Silva AM, Carvalho C, Leal B, Santos E, Costa PP et al. The role of KIR2DS1 in multiple sclerosis—KIR in Portuguese MS patients. J Neuroimmunol 2014; 269: 52–55.
Fusco C, Guerini FR, Nocera G, Ventrella G, Caputo D, Valentino MA et al. KIRs and their HLA ligands in remitting-relapsing multiple sclerosis. J Neuroimmunol 2010; 229: 232–237.
Lorentzen AR, Karlsen TH, Olsson M, Smestad C, Mero IL, Woldseth B et al. Killer immunoglobulin-like receptor ligand HLA-Bw4 protects against multiple sclerosis. Ann Neurol 2009; 65: 658–666.
Wallin MT, Culpepper WJ, Coffman P, Pulaski S, Maloni H, Mahan CM et al. The Gulf War era multiple sclerosis cohort: age and incidence rates by race, sex and service. Brain 2012; 135 (Pt 6): 1778–1785.
Langer-Gould A, Brara SM, Beaber BE, Zhang JL . Incidence of multiple sclerosis in multiple racial and ethnic groups. Neurology 2013; 80: 1734–1739.
Cree BA, Khan O, Bourdette D, Goodin DS, Cohen JA, Marrie RA et al. Clinical characteristics of African Americans vs Caucasian Americans with multiple sclerosis. Neurology 2004; 63: 2039–2045.
Cree BA, Reich DE, Khan O, De Jager PL, Nakashima I, Takahashi T et al. Modification of Multiple Sclerosis Phenotypes by African Ancestry at HLA. Arch Neurol 2009; 66: 226–233.
Oksenberg JR, Barcellos LF, Cree BA, Baranzini SE, Bugawan TL, Khan O et al. Mapping multiple sclerosis susceptibility to the HLA-DR locus in African Americans. Am J Hum Genet 2004; 74: 160–167.
Caillier SJ, Briggs F, Cree BA, Baranzini SE, Fernandez-Vina M, Ramsay PP et al. Uncoupling the roles of HLA-DRB1 and HLA-DRB5 genes in multiple sclerosis. J Immunol 2008; 181: 5473–5480.
Hollenbach JA, Nocedal I, Ladner MB, Single RM, Trachtenberg EA . Killer cell immunoglobulin-like receptor (KIR) gene content variation in the HGDP-CEPH populations. Immunogenetics 2012; 64: 719–737.
Hollenbach JA, Oksenberg JR . The immunogenetics of multiple sclerosis: A comprehensive review. J Autoimmun 2015; 64: 13–25.
Pando MJ, Gardiner CM, Gleimer M, McQueen KL, Parham P . The protein made from a common allele of KIR3DL1 (3DL1*004) is poorly expressed at cell surfaces due to substitution at positions 86 in Ig domain 0 and 182 in Ig domain 1. J Immunol 2003; 171: 6640–6649.
Norman PJ, Hollenbach JA, Nemat-Gorgani N, Guethlein LA, Hilton HG, Pando MJ et al. Co-evolution of Human Leukocyte Antigen (HLA) Class I Ligands with Killer-Cell Immunoglobulin-Like Receptors (KIR) in a Genetically Diverse Population of Sub-Saharan Africans. PLoS Genet 2013; 9: e1003938.
Fernandez Vina MA, Hollenbach JA, Lyke KE, Sztein MB, Maiers M, Klitz W et al. Tracking human migrations by the analysis of the distribution of HLA alleles, lineages and haplotypes in closed and open populations. Philos Trans R Soc Lond B Biol Sci 2012; 367: 820–829.
McDonald WI, Compston A, Edan G, Goodkin D, Hartung HP, Lublin FD et al. Recommended diagnostic criteria for multiple sclerosis: guidelines from the International Panel on the diagnosis of multiple sclerosis. Ann Neurol 2001; 50: 121–127.
Polman CH, Reingold SC, Banwell B, Clanet M, Cohen JA, Filippi M et al. Diagnostic criteria for multiple sclerosis: 2010 revisions to the McDonald criteria. Ann Neurol 2011; 69: 292–302.
Isobe N, Madireddy L, Khankhanian P, Matsushita T, Caillier SJ, More JM et al. An ImmunoChip study of multiple sclerosis risk in African Americans. Brain 2015; 138 (Pt 6): 1518–1530.
R Development Core Team R: A Language and Environment for Statistical Computing. R Foundation for Statistical Computing: Vienna, Austria, 2008.
Aragon T . epitools: Epidemiology Tools. R package version 0.5-7, 2012.
Hollenbach JA, Mack SJ, Thomson G, Gourraud PA . Analytical methods for disease association studies with immunogenetic data. Methods Mol Biol 2012; 882: 245–266.
Schaid DJ, Rowland CM, Tines DE, Jacobson RM, Poland GA . Score tests for association between traits and haplotypes when linkage phase is ambiguous. Am J Hum Genet 2002; 70: 425–434.
Sinnwell J, Schaid D . haplo.stats: Statistical Analysis of Haplotypes with Traits and Covariates when Linkage Phase is Ambiguous. R package version 1.7.1, 2015.
Acknowledgements
The authors thank the multiple sclerosis patients and healthy controls who participated in this study. We also thank Nezih Cereb and Soo Young Yang at Histogenetics Inc., and Hanne Harbo for useful discussion. This study was supported by grants from the National Institute of Health (R01NS046297 and U19NS095774). Recruitment of study participants and sample acquisition was supported by the National Multiple Sclerosis Society (RG2899-D11).
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Hollenbach, J., Pando, M., Caillier, S. et al. The killer immunoglobulin-like receptor KIR3DL1 in combination with HLA-Bw4 is protective against multiple sclerosis in African Americans. Genes Immun 17, 199–202 (2016). https://doi.org/10.1038/gene.2016.5
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DOI: https://doi.org/10.1038/gene.2016.5
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